2002-01-03_REPORT - M1997014

• Permit No: M1997014
• IBM Index Class Name: Report
• Doc Date: 1/3/2002
• Doc Name: Annual Fee/Report Notice
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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999
RECEIVED
PERMITTEE NAME:
PERMIT NO.:
OPERATION NAME:
ANNIVERSARY DATE
ANNUAL FEE DUE:
COUNTY:
ANNUAI, FEE and REPORT REQUEST
Aggregate Industries -WCR, Inc.
M-1997.014
Deer Creek Quarry
September 12, 2001
$658.00 (Due on or before your anniversary date)
Jefferson
JAN 0 3 2002
Division of Minerals and Geology
According to C.R.S. 34-32.5-116 or C.K.S. 34-32-I 16, each year, on [he anniversary date of [he permit, an operator
shall submit the annual fee, a report and map showing the extent of current disturbances to affected land,
reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur
during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning
of active operations, and the date active operations ceased for the year, if any.
Please attach your revised written annual report and annual report map to this form. Please note that an
adequately labeled map that clearly delineates and includes the above elements may suffice for a nvitten report.
Division records indicate the following permittee contact information. Please verify and make any necessary
changes:
Pennittee Contact: Patrick Ward
Pennittee Name: Aggregate Industries -WCR, Inc.
Address: 3605 S. Teller St.
Lakewood, CO 80235
Phone Number: [phone]
Fax Number:
If you have additional comments andlor information that should be provided to the llivision, please provide it
below or attach it to this form along with your written report and map. Annual Report instructions are enclosed.
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Signature of Corporate Officer or Owner
Date
M:V'ERh11nM ASTERDOCUMENTSNt-AF-01